Table 2. Prospective trials of anticholinergic drugs in the management of neurogenic bladder related to SCI.
Author, year | Active drugs compared | Active | Active SCI | ASIA | UDS methdology | Video UDS | Standardized terminology | Bladder diary | Symptom score | Multicenter |
---|---|---|---|---|---|---|---|---|---|---|
Kennelly et al.27 | Transdermal oxybutynin initially 3.9 and 7.8 mg per day to oxybutynin final 7.8, 9.1 and 11.7 mg per day | 24 Total 18 final | Xa | Yes | Not detailed | No | Yes | Yes | No | Yes |
Amend et al.28 | Group A: Tolterodine and oxybutynin 15 or 30 mg Group B: Trospium chloride 90 mg and tolterodine 4–8 mg Group C: Oxybutynin 30 mg and trospium chloride 45 or 90 mg | 27 | 21 | No | Detailed | Yes | Yes | Yes | No | No |
Zahariou et al.30 | Oxybutynin 5 mg 1x3 daily DDAVP (intranasal)+oxybutynin 5 mg 1x3 daily | 11 | 11 | No | N/A | N/A | No | No | No | No |
George et al.31 | Oxybutynin 5 mg Propantheline 15 mg Capsaicin 1 mm/1 in 30% ethanol in saline | 18 | X | Yes | Not detailed | No | No | Yes | No | No |
Bennett et al.32 | Oxybutynin XL 10 mg, increasing to 15, 20, 25 and 30 mg | 39 | 10 | No | N/A | N/A | No | No | No | No |
O'Leary et al.34 | Oxbutynin XL 10 mg, increasing to 30 mg (n=5) | 10 | 10 | Yes | Detailed | Yes | No | Yes | No | No |
Pannek et al.35 | Oxybutynin (oral) 4x5 mg per day Oxybutynin (oral) 4x5 mg per day+oxybutynin (intravesical) 3x15 mg per day dissolved in 15 ml solution | 25 | 25 | No | Detailed | No | No | Yes | No | No |
Haferkamp et al.36 | Oxybutynin (intravesical) 0.3 mg/kg increasing to 0.9 mg/kg | 32 | 17 | No | Detailed | Yes | Yes | No | No | No |
Vaidyananthan et al.37 | Oxybutynin 1–3x5.0 mg per day | 7 | 7 | No | N/A | N/A | No | No | No | No |
Szollar and Lee38 | Ditropan 1–3x5.0 mg per day diluted in 30 ml saline solution | 13 | 13 | No | Detailed | Yes | No | No | No | No |
Singh and Thomas39 | Oxybutynin (intravesical) 1x10.0 mg per day diluted in 30 ml solution | 6 | 6 | No | Detailed | Yes | No | No | No | No |
O'Flynn and Thomas40 | Oxybutynin (intravesical) 1x5.0 mg diluted in distilled water | 15 | 12 | No | Detailed | No | No | No | No | No |
Prasad and Vaidyananthan41 | Oxybutynin 3x5.0 mg per day dissolved in 10 ml boiled and cooled tap water | 12 | 8 | No | Detailed | No | No | No | No | No |
Madersbacher et al.42 | Intravesical oxybutynin 5 mg tab crushed into 30 cm3 water | 13 | 13 | Predates | No | No | Predates | No | Predates | No |
Diokno and Lapides44b | Part 1: Oxybutynin 1x5.0 mg to Probanthine (oral) 1x15 mg OR probanthine (intravenous) 1x60 mg | 8 | 5 | Predates | No | No | No | No | No | No |
Part 2: Oxybutynin 2–3x5.0 mg per day to no medication | 8 | 8 | Predates | No | No | Predates | No | Predates | No | |
Bodner et al.43 | 'Verapamil (alone) 240SL Oxybutynin (alone) 5 mg Verapamil+oxybutyninb | 14 | 14 | Predates | No | Yes | Predates | No | Predates | No |
Abbreviations: ASIA, American Spinal Injury Association Impairment Scale; N/A, not applicable; SCI, spinal cord injury; TCl, trospium chloride; tolt, tolterodine; UDS, urodynamic studies.
X=No information provided or could be obtained.
Only parts 1 and 2 included patients with neurogenic bladder.